A5090067006- Cardiac Valve Diseases and Treatments
- Anesthesia and Pain Management
- Aortic Disease and Treatment Approaches
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Family Support in Illness
- Central Venous Catheters and Hemodialysis
- Cardiovascular Issues in Pregnancy
- Infective Endocarditis Diagnosis and Management
- Cardiac Arrhythmias and Treatments
- Congenital Heart Disease Studies
- Cardiac Structural Anomalies and Repair
- Anesthesia and Sedative Agents
- COVID-19 and healthcare impacts
- Cardiac Arrest and Resuscitation
- Aortic aneurysm repair treatments
- Trauma Management and Diagnosis
- Pulmonary Hypertension Research and Treatments
- Cardiovascular and Diving-Related Complications
- Spinal Fractures and Fixation Techniques
- Hemodynamic Monitoring and Therapy
- Computational Geometry and Mesh Generation
- Nausea and vomiting management
- Digital Image Processing Techniques
- Spine and Intervertebral Disc Pathology
University of Exeter
2024
West Virginia University
2014-2023
Duke University
2023
Spectrum Health
2021
Barro Colorado Island
2019
West Virginia University Hospitals
2019
Huntington's Disease Association
2015-2018
The Huntington Library, Art Museum, and Botanical Gardens
2016
Rush University Medical Center
2015
University of California, San Francisco
2015
Purpose: In pandemics, centralized healthcare leadership is a critical requirement. The objective of this study was to analyze the early development, operation, and effectiveness COVID-19 organizational team transformation services at West Virginia University Hospitals Health System (WVUHS). analysis focused on how Kotter's Leading Change eight-stage paradigm could contribute an understanding determinants successful change in response pandemic. Methods: fifteen core leaders WVUHS strategic...
Abstract Many families experience difficulty in talking about an inherited genetic condition that affects one or more of them. There have now been a number studies identifying the issues detail, however few developed interventions to assist families. The SPRinG collaborative used UK Medical Research Council’s guidance on Developing and Evaluating Complex Interventions, work with counsellors (GCs) co-design psycho-educational intervention facilitate family communication promote better coping...
Background: Ischemic optic neuropathy resulting in visual loss is a rare but devastating complication of spine surgery. Elevated intraocular pressure (IOP) results decreased perfusion and possibly ischemic neuropathy. We performed randomized, prospective trial to evaluate the effect head positioning on IOP during lumbar fusion. Methods: The study included fifty-two patients treated at one institution. Inclusion criteria were fusion an age eighteen eighty years. Exclusion diagnosis tumor,...
A greater auricular nerve (GAN) block was used as the sole anesthetic for facial surgery in an 80-year-old male patient with multiple comorbidities which would have made general anesthesia challenging. The GAN provides sensation to ear, mastoid process, parotid gland, and angle of mandible. In addition operating room surgery, can be outpatient or emergency department procedures without need a separate team. Although this has been performed using landmark-based techniques, ultrasoundguided...
Central MessageExtubation in the operating room after routine cardiac surgery is safe and beneficial when facilitated by an aligned multidisciplinary team. Extubation Feature Editor's Introduction—Although 24-hour ventilator times have remained quality metric for Society Thoracic Surgeons (STS) Star rankings, it has become apparent over past several years that association between vent time morbidity occurs much earlier.1Crawford T.C. Magruder J.T. Grimm J.C. Sciortino C. Conte J.V. Kim B.S....
A 7-day-old female alpaca was examined because of an acute onset diffuse central neurologic deficits.Diagnostic imaging with CT and MRI identified intracranial cyst occupying approximately one-third to one-half the dorsal portion cranial cavity, markedly displacing cerebral hemispheres bilaterally.Initial surgical management via trephination needle drainage only transiently effective at resolving signs. Craniotomy removal lining resulted in a sustained improvement status, cria remained...
A 73-year-old female patient presented for mitral valve replacement and coronary artery bypass grafting secondary to multivessel disease severe regurgitation with moderate stenosis. After bypass, the developed refractory hypotension decreased biventricular volume elevated central venous pressure (CVP). Transesophageal echocardiography (TEE) was utilized make diagnosis of acute intraoperative superior vena cava (SVC) syndrome. The SVC cannulation site revised, resulting in resolution a...
Let $\mathcal{K}$ be a finite pure simplicial $d$-complex, with oriented facets $\{F_i\}$, which is boundaryless in the sense that $\sum\partial F_i=0$. We call such an \textit{admissible $d$-complex}. Given admissible one can ask for smallest collection $\{T_i\}$ of $(d+1)$-simplices on vertices decomposes $\sum \partial T_i = \mathcal{K}$. minimum size $V_\mathbb{Z}(\mathcal{K})$, and let $V_\mathbb{Q}(\mathcal{K})$ relaxed analog where fractional may used. explain how these quantities...
Load carriage is a key component of hiking and military activity. The design the load system (LCS) could influence performance injury risk. This study aimed to compare traditional compliant LCS during walking step-up task quantify differences in oxygen consumption trunk-pelvis kinematics. Fourteen participants completed tasks whilst carrying 16 kg rigid LCS. There were no between conditions either (
General anesthesia has traditionally been used in transcatheter aortic valve replacement; however, there increasing interest and momentum alternative anesthetic techniques.To perform a descriptive study of management options replacements the United States, comparing trends use monitored care versus general anesthesia.Data evaluated from American Society Anesthesiologists' (ASA) Anesthesia Quality Institute's National Clinical Outcomes Registry.Multivariable logistic regression was to...
BACKGROUND:Intravenous drug use is an epidemic in the United States. One of complications intravenous can be infective endocarditis. The treatment for this disease a combination antibiotics, cardiac surgery consultation, and multidisciplinary psychiatric care. Despite surgical intervention, recurrence common. In setting recurrent endocarditis use, ethics redo has not been well-established. CASE REPORT:A 34-year-old man with history presented on 3 separate occasions resulting tricuspid valve...
Background Appalachian rural pediatric trauma has its unique incidence, presentation, and distribution due to the mechanisms of injury, geographic location, access care, social issues. Purpose To review, analyze, understand in West Virginia during period 2017-2019. Materials methods After institutional review board approval, statewide database was queried analyzed a retrospective cohort study for all ages zero 18 from 2017-2019 regions one through four Virginia. The following were analyzed:...
Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome, is an acute vasculitis that frequently affects medium-sized blood vessels. The usually self-limiting and most commonly children under five years of age. It often the coronary arteries leading cause acquired heart in developed countries. We report case a teenage boy who had long-standing diagnosis disease, underwent artery bypass grafting surgery, complicated medical course following surgery.